| NPI | 1689817405 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHERINE HOLLOWAY Director 904-202-5378 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease |
| Additional Taxonomies | 207RS0010X Internal Medicine, Sports Medicine |
| 207RS0012X Internal Medicine, Sleep Medicine | |
| 207RC0200X Internal Medicine, Critical Care Medicine | |
| Enumeration Date | 2009-04-09 |
| Last Update Date | 2021-03-03 |